Medical Associates Health Plans
Also covers / subsidiaries: MAHP, Health Choices
Core Payer & Clearinghouse Profile
Electronic Payer ID
MAHC1
MAHC1 listed on Claim.MD and MAHP EDI docs.
Timely Filing Limit (TFL)
90 days from date of service (up to 1 year if filing within 90 days was not reasonably possible)
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
Change Healthcare (Optum); also Claim.MD
Provider Services
800-747-8900
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.mahealthplans.com/hp/for-businesses/providers/
Dubuque, Iowa-based commercial/Medicare plan affiliated with Medical Associates Clinic.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Medical Associates Health Plans.
Resolution Tools for Medical Associates Health Plans Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing Medical Associates Health Plans Denials & Delayed Payments?
Aethera's billing specialists work Medical Associates Health Plans every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.